Conditions needed to feed the non-breastfed infant

Notes for the community health worker:

• Discuss with mothers and caregivers how to feed the non-breastfed infant in a way that reduces risk of harm. Share the following guidance, which applies to infants fed with formula and to breastfed children who also receive other milks:
• Make sure that you have the resources to get enough supplies of infant formula for the baby’s normal growth and development until he or she reaches at least 6 months of age. (A baby needs about 40 tins of 500 g infant formula for the first 6 months.)
• Ensure that you have a reliable source of safe water.
• Make certain you have soap and clean running water to wash your hands before preparing formula and to wash and then boil utensils.
• Make sure there is enough fuel to boil water.
• Store the clean water and infant formula tins in a safe, clean place.
• Always read and follow the instructions that are printed on the infant formula tin:
• Ask for more explanation if you do not understand.
• Use clean water to mix with the infant formula. If possible, prepare the water that is needed for the whole day. Bring the water to a rolling boil for at least two minutes and then pour it into a flask or clean covered container that is specially reserved for boiled water.
• Only prepare enough infant formula for one feed at a time and use the formula within one hour of preparation. See Counselling Card 10 on how to cup feed.
• Ensure safe hygiene and sanitation.
• Visit a health facility for growth monitoring and promotion, regular check-ups and immunizations, and other health care services if the child becomes ill.